First Transfemoral Implantation of a Novel Transcatheter Valve in an LVAD Patient With Aortic Insufficiency
Lauren S. Ranard, Ryan Kaple, Omar Khalique, Vratika Agarwal, Lavanya Bellumkonda, Pramod Bonde, Isaac George, Nir Uriel, Martin B. Leon, Torsten Vahl
Abstract
An 80-year-old man with a destination left ventricular assist device (LVAD) presented with decompensated heart failure. Evaluation demonstrated numerous LVAD high power spike events, significant aortic regurgitation, and hemolysis. He underwent successful aortic valve replacement with a novel transcatheter valve and LVAD pump exchange that resulted in an improvement in his clinical status. (Level of Difficulty: Advanced.)
Topics & Concepts
MedicineRegurgitation (circulation)CardiologyInternal medicineHeart failureVentricular assist deviceAortic valveValve replacementAortic Valve InsufficiencyStenosisMechanical Circulatory Support DevicesCardiac Structural Anomalies and RepairCardiac Valve Diseases and Treatments